Short preceding birth intervals and child mortality in Mozambique
), Tom A. Moultrie(2),
(1) Nairawebs Design
(2)
Corresponding Author
Abstract
This paper examines the risk of child mortality associated with short preceding birth intervals in Mozambique. We apply a piecewise log-rate model to a pooled dataset comprising 36,305 live births from the 1997 and 2003 Mozambique Demographic and Health Surveys (DHS). Our results show that the effects of short preceding intervals are strongest during the first month of life, particularly the first week, indicating prenatal maternal depletion as the dominant pathway. The rapid decline in mortality rates from intervals of less than six months to the category 30 to 35 months suggests an optimal waiting period of at least 30 months between one birth and the next pregnancy. 73 per cent of births had preceding intervals less than 30 months which, amidst low contraception use, indicates a potential for family planning programs to contribute to child survival and the attainment of Millennium Development Goal 4 in Mozambique. (Afr J Reprod Health 2012; 16[4]: 29-42).
Résumé
Cet article examine le risque de la mortalité infantile liée à de courts intervalles entre les naissances précédentes au Mozambique. Nous appliquons un taux de morceaux log-modèle à un ensemble de données commun qui comprennent 36,305 naissances vivantes tirées de l'enquête démographique et de santé (EDS) de 1997 de 2003 au Mozambique. Nos résultats montrent que les effets de courts intervalles précédents sont les plus forts pendant le premier mois de vie, surtout la première semaine, ce qui indique l’épuisement maternel prénatal comme la voie dominante. La baisse rapide des taux de mortalité à partir des intervalles de moins de six mois jusqu’à la catégorie de 30 à 35 mois, indiquent une période d'attente optimale d'au moins 30 mois entre une naissance et la prochaine grossesse. 73 pour cent des naissances ont précédé les intervalles de moins de 30 mois, ce qui, au milieu de faible utilisation de la contraception, indique un potentiel pour les programmes de planification familiale pour contribuer à la survie de l'enfant et de la réalisation des OMD 4 au Mozambique (Afr J Reprod Health 2012; 16[4]: 29-42).
Keywords: Child mortality, birth spacing, preceding birth intervals, contraception use, MozambiqueReferences
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